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Minimally Invasive Lateral Spine Surgery in Trauma

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Lateral Access Minimally Invasive Spine Surgery

Abstract

Thoracolumbar trauma patients present unique challenges to the spine surgeon, whose goals are to prevent primary or secondary neurological injury, enhance neurological recovery, stabilize the spine to promote early mobilization, and minimize surgical morbidity. Minimally invasive surgery (MIS) has become a key tool in the spine surgeon’s armamentarium in the treatment of these potentially fragile patients, as it affords an alternative to traditional open procedures and their associated increased blood loss and infection rates [1, 2]. Specifically, lateral minimally invasive spine surgery (MISS) has recently become a treatment option in this patient population. The development of minimally invasive techniques potentially allows surgeons to better treat spine trauma patients by providing early decompression or stabilization while minimizing the morbidity of surgery. In this chapter, the epidemiology of thoracolumbar spinal cord injuries will be discussed, followed by the indications for the use of lateral MISS procedures versus the conventional open anterior approaches. The surgical technique for lateral MISS will be outlined, as well as the pros and cons of this approach. Finally, a case example will detail the use of lateral MISS in clinical practice.

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Author information

Authors and Affiliations

  1. Department of Orthopaedics, Spine Division University of Maryland, Baltimore, MD, 21201, USA

    Joseph Pyun MD, Tristan Weir BS & Kelley Banagan MD

  2. Department of Orthopaedics, University of Maryland, 22 South Greene Street, Suite S11B, Baltimore, MD, 21201, USA

    Steven C. Ludwig MD

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  1. Joseph Pyun MD
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  2. Tristan Weir BS
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  3. Kelley Banagan MD
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  4. Steven C. Ludwig MD
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Correspondence to Steven C. Ludwig MD .

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Editors and Affiliations

  1. University of Miami Neurological Surgery, Miami, Florida, USA

    Michael Y. Wang

  2. Spine Surgery, Weill Cornell Medical Center Hospital for Special Surgery, New York, New York, USA

    Andrew A. Sama

  3. Dept. of Neurosurgery, University of South Florida Tampa General Hospital, Tampa, Florida, USA

    Juan S. Uribe

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Pyun, J., Weir, T., Banagan, K., Ludwig, S.C. (2017). Minimally Invasive Lateral Spine Surgery in Trauma. In: Wang, M., Sama, A., Uribe, J. (eds) Lateral Access Minimally Invasive Spine Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-28320-3_22

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  • DOI: https://doi.org/10.1007/978-3-319-28320-3_22

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  • Online ISBN: 978-3-319-28320-3

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